| NPI | 1104697945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUTHIDA HOWARD Proprietor 310-396-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |